COMPARING WORK ENGAGEMENT ACROSS GENERATIONS: A MULTI-GROUP SEM STUDY OF MEDICAL RECORD AND HEALTH INFORMATION OFFICERS IN INDONESIA
DOI:
https://doi.org/10.18623/rvd.v22.n2.3267Keywords:
Empowerment, Engagement, Leadership, Trust, Work EnvironmentAbstract
Work engagement is a crucial factor for sustaining healthcare performance, especially among medical record and health information officers (MRHIOs) who play a vital role in data accuracy and digital health transformation. This study examines the determinants of work engagement, focusing on transformational leadership, empowerment, work environment, and the mediating role of work trust, while exploring potential generational and demographic differences. Methods: A cross-sectional survey was conducted using secondary data from 334 MRHIOs in Jakarta, Indonesia. Data were analyzed using Structural Equation Modeling (SEM) with AMOS, followed by multi-group SEM to test invariance across demographic groups including age, gender, tenure, and hospital type. Results: The model demonstrated strong fit indices (CFI = 0.97, RMSEA = 0.049). Transformational leadership, empowerment, and work environment significantly influenced engagement both directly and indirectly through work trust. Transformational leadership emerged as the strongest predictor, while work trust played a critical mediating role. Variance explained was 40% for work trust and 36% for engagement. Generational and demographic variations suggested that engagement is not uniform across groups. Conclusion: Engagement among MRHIOs is shaped by organizational resources and trust, consistent with the JD-R model and Social Exchange Theory. Hospitals should strengthen leadership, empowerment, work environment, and trust while tailoring engagement strategies to demographic differences to enhance healthcare performance and patient safety.
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